Please use this identifier to cite or link to this item: http://buratest.brunel.ac.uk/handle/2438/10259
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dc.contributor.authorMoseley, GL-
dc.contributor.authorO'Connell, NE-
dc.date.accessioned2015-02-18T10:10:59Z-
dc.date.available2015-01-06-
dc.date.available2015-02-18T10:10:59Z-
dc.date.issued2015-
dc.identifier.citationNeurology, 84 (1): 19 - 20, (6 January 2015)en_US
dc.identifier.issn0028-3878-
dc.identifier.urihttp://www.neurology.org/content/84/1/19-
dc.identifier.urihttp://bura.brunel.ac.uk/handle/2438/10259-
dc.description.abstractComplex regional pain syndrome (CRPS), perhaps more than any other chronic pain disorder, is perplexing. It is highly disabling, particularly once it has “set in,” and it has a tendency to polarize the community—some view it as a quasidiagnosis to obscure malingering or conceal substandard clinical skills,1 and others as a multiple system overprotective response.2 What is agreed is that its pathophysiology is not completely understood and that it is difficult to treat. In light of this rather murky backdrop, we welcome the new perspectives article in this issue of Neurology® by Birklein et al.3 They describe their own clinical approach to the problem and their impressions of what works, what does not, and where the field might be heading. The lead author is the most prolific and arguably the most important researcher in this field, and the article clearly draws on a wealth of expertise and clinical experience probably unmatched globally. The article reminds us of the remaining substantial challenges that we face: for example, the need for prospective studies, higher quality clinical trials and audits, and a putative model that accounts for the transition from acute CRPS to chronic CRPS, which is arguably characterized by distinct pathophysiology. Anyone who treats a good number of CRPS patients will recognize the clinical patterns to which the authors allude and be comforted by the realization that even this group, at the top of the field, share the same substantial treatment challenges.en_US
dc.description.sponsorshipG.L.M. is supported by a Principal Research Fellowship from the National Health & Medical Research Council of Australia ID 1061279.en_US
dc.format.extent19 - 20 (2)-
dc.format.extent19 - 20 (2)-
dc.format.extent19 - 20 (2)-
dc.format.extent19 - 20 (2)-
dc.languageEnglish-
dc.language.isoenen_US
dc.publisherAmerican Academy of Neurologyen_US
dc.subjectComplex regional pain syndrome (CRPS)en_US
dc.subjectPathophysiologyen_US
dc.subjectClinical patternsen_US
dc.titleFinding the balance in complex regional pain syndrome. Expertise, optimism, and evidenceen_US
dc.typeArticleen_US
dc.identifier.doihttp://dx.doi.org/10.1212/WNL.0000000000001114-
dc.relation.isPartOfNeurology-
dc.relation.isPartOfNEUROLOGY-
dc.relation.isPartOfNEUROLOGY-
dc.relation.isPartOfNEUROLOGY-
dc.relation.isPartOfNEUROLOGY-
pubs.issue1-
pubs.issue1-
pubs.issue1-
pubs.issue1-
pubs.publication-statusPublished-
pubs.publication-statusPublished-
pubs.publication-statusPublished-
pubs.publication-statusPublished-
pubs.volume84-
pubs.volume84-
pubs.volume84-
pubs.volume84-
pubs.organisational-data/Brunel-
pubs.organisational-data/Brunel/Brunel Staff by College/Department/Division-
pubs.organisational-data/Brunel/Brunel Staff by College/Department/Division/College of Health and Life Sciences-
pubs.organisational-data/Brunel/Brunel Staff by College/Department/Division/College of Health and Life Sciences/Dept of Clinical Sciences-
pubs.organisational-data/Brunel/Brunel Staff by College/Department/Division/College of Health and Life Sciences/Dept of Clinical Sciences/Physiotherapy-
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pubs.organisational-data/Brunel/Brunel Staff by Institute/Theme/Institute of Environmental, Health and Societies-
pubs.organisational-data/Brunel/Brunel Staff by Institute/Theme/Institute of Environmental, Health and Societies/Health Economics-
pubs.organisational-data/Brunel/University Research Centres and Groups-
pubs.organisational-data/Brunel/University Research Centres and Groups/Brunel Business School - URCs and Groups-
pubs.organisational-data/Brunel/University Research Centres and Groups/Brunel Business School - URCs and Groups/Centre for Research into Entrepreneurship, International Business and Innovation in Emerging Markets-
pubs.organisational-data/Brunel/University Research Centres and Groups/School of Health Sciences and Social Care - URCs and Groups-
pubs.organisational-data/Brunel/University Research Centres and Groups/School of Health Sciences and Social Care - URCs and Groups/Brunel Institute for Ageing Studies-
pubs.organisational-data/Brunel/University Research Centres and Groups/School of Health Sciences and Social Care - URCs and Groups/Brunel Institute of Cancer Genetics and Pharmacogenomics-
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Appears in Collections:Dept of Clinical Sciences Research Papers

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